四川医学2023，Vol.44Issue(11)：1182-1185,4.DOI:10.16252/j.cnki.issn1004-0501-2023.11.012
Ⅲ期外耳道胆脂瘤再分期治疗的临床疗效观察
Clinical Efficacy of Restaging Treatment for Stage Ⅲ Ear Canal Cholesteatoma
段礼府 1鄢斌成 1蒋宗玲 1魏兴 1胡一勇1
作者信息
- 1. 自贡市第一人民医院耳鼻咽喉头颈外科,四川 自贡 643000
- 折叠
摘要
Abstract
Objective To explore the individualized treatment for stage Ⅲ ear canal cholesteatoma in order to improve ef-ficacy and safety.Methods Thirty patients as experimental group undergoing surgery for stage Ⅲ ear canal cholesteatoma were di-vided into Ⅲa and Ⅲb according to the completeness of facial nerve bridge.According to different degrees of mastoid gasification,corresponding mastoid operation and tympanic exploration and reconstruction of posterior wall of external auditory canal,with or without tympanoplasty,was used in stage Ⅲa ear canal cholesteatoma.On the other hand,open mastotomy and tympanoplasty and bone meal constriction cavity was used in stage Ⅲb ear canal cholesteatoma,and composite flap of posterior auricular skin flap was used to promote epithelialization.Postoperative dry ear time,hearing,cholesteatoma recurrence and other indicators were followed up for 6 months,and 30 cases were selected from the resident cases to evaluate the therapeutic effect.Results The experimental group was better than the control group in dry ear time,hearing and cholesteatoma recurrence.Conclusion Restaging of stage Ⅲ ear canal cholesteatoma can improve the curative effect and is a good treatment strategy.关键词
Ⅲ期外耳道胆脂瘤/外耳道后壁重建/完桥式乳突切开/耳后皮瓣复合瓣Key words
stage Ⅲ ear canal cholesteatoma/reestablishment posterior wall of the external acoustic meatus/transcanalat-ticotomy/composite flap of posterior auricular skin flap分类
医药卫生引用本文复制引用
段礼府,鄢斌成,蒋宗玲,魏兴,胡一勇..Ⅲ期外耳道胆脂瘤再分期治疗的临床疗效观察[J].四川医学,2023,44(11):1182-1185,4.
